Coding

Coding

Beginner and advanced medical coding resources, including member exclusive content and ACP's Coding for Clinicians subscription series.

Improve your coding skills to represent the true complexity of your patient care and secure appropriate compensation for your professional services with ACP coding resources.

Get the most out of ACP's coding resource suite by subscribing to ACP Coding for Clinicians, providing interactive learning modules to help you code smarter and ensure maximum payment. CME/MOC available.

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Coding for POCUS New

Learning Module

Learn the requirements to appropriately bill for point-of-care ultrasound (POCUS) services, review commonly reported CPT codes and modifiers, and identify key strategies to streamline POCUS billing.

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Guidance and Tools

Diagnosis Coding and Core Knowledge

Learning Module

Learn about the diagnosis and service coding systems used by all billing clinicians.

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Video

Hierarchical Condition Categories and Value-Based Payment

Learning Module

Succeed in value-based payment programs by coding more accurate diagnoses and capturing hierarchical condition categories (HCCs).

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Inpatient & Observation Evaluation and Management

Learning Module

Updated with 2023 guidance! Properly report initial hospital day codes 99221-99223 and subsequent hospital day codes 99231-99233.

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Guidance and Tools

Video

Inpatient & Observation Special Topics

Learning Module

Updated with 2023 guidance! Select same day admission and discharge codes 99234-99236, hospital discharge day codes 99238 and 99239, critical care codes 99291 and 99292, ventilator management codes 94002-94004, inpatient prolonged service code 99418, and consultation codes 99242-99245 and 99252-99255.

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Pediatric Inpatient Care

Learning Module

Select neonatal care codes 99460-99469, delivery room service codes 99464 and 99465, neonatal and pediatric critical care codes 99471-99476, neonatal intensive care codes 99477-99480, critical care time codes 99291 and 99292, and common separable procedure codes.

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Outpatient Services

Learning Module

Select outpatient service codes 99202-99205 and 99211-99215 using the new 2021 guidelines.

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Guidance and Tools

Outpatient Prolonged Services

Learning Module

Capture payment for prolonged office services using codes 99417 and G2212, prolonged face-to-face time with codes 99354 and 99355, and non-face-to-face prolonged care with codes 99358 and 99359.

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Outpatient Consultation

Learning Module

Updated with 2023 guidance! Properly represent the expertise of your outpatient consultation services using codes 99242-99245.

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Preventive Visits

Learning Module

Properly report adult preventive medicine visits codes 99385-99387 and 99395-99397, well-child service codes 99381-99384 and 99391-99394, the “Welcome to Medicare” visit codes G0402-G0405, Medicare Annual Wellness Visits codes G0438-G0439, advance care planning codes 99497 and 99498, and modifier -33.

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Guidance and Tools

Concurrent Procedures and E/M Services

Learning Module

Capture all components of a multi-service visit by properly reporting code 99024 and modifiers -50, -51, -57, -24, and -25.

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Guidance and Tools

Concurrent Preventive and E/M Services

Learning Module

Represent the complexity of preventive services through use of modifiers -25 and –33 and by reporting substance use counseling codes 99406-99409, advance care planning codes 99497 and 99498, intensive behavioral therapy for obesity code G0447, pediatric clinical assessment codes 96110 and 96127, and pediatric health risk assessment codes 96160 and 96161.

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Guidance for Teachers, Residents, and Students

Learning Module

Teach and code with confidence in both inpatient and outpatient settings. Learn federal guidance for documentation and supervision of care provided with medical students and residents, modifier -GC, primary care exception modifier -GE, and moonlighting regulations.

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Chronic and Transitional Care Management

Learning Module

Correctly capture revenue for longitudinal team care of complex patients using Remote Physiologic Monitoring codes, Chronic Care Management codes, and Transitional Care Management codes.

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Guidance and Tools

  • Chronic Care Management (CCM)

ACP Advocacy to Improve Physician Payment

Learn about ACP’s advocacy focused on improving physician payment and the RVS Update Committee (RUC) process in which ACP participates to help develop relative value recommendations for codes.